Friends of the Child Advocacy Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO28900 Issued in OR

Legal business name

FRIENDS OF THE CHILD ADVOCACY CENTER INC.

Practice address

299 E 18TH Ave
Eugene, OR 97401-4108

Phone

(541) 682-3938

Fax

(541) 682-8743

NPI assigned

Mar 3, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Lopez

Title

Executive Director

Phone

(541) 682-3938

Specialties & licenses 1

Addresses

Other names 1

• Kids' First Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deanna M St. Germain, D.O.

  • Family Medicine Physician
  • Bend, OR
  • NPI 1306846357
  NPD
• Cortney Madeira, MS ED/ CAS

  • Mental Health Counselor
  • Corvallis, OR
  • NPI 1013203504
  NPD (past)
• Shelby Neill, MSW

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1609691658
  NPD (past)
• Haley Bates, APRN

  • Pediatric Nurse Practitioner
  • Hartford, CT
  • NPI 1396418133
  NPD (past)
• Corey Jonathan Rood, M.D.

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1548586936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1679933667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014108",
            "telephone_number": "541-682-3938",
            "fax_number": "541-682-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 E 18TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014108",
            "telephone_number": "541-682-3938",
            "fax_number": "541-682-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF THE CHILD ADVOCACY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-682-3938"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO28900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids' First Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids' First Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Levine Friedman, LCSW
• Eugene Victor Friedrich Jr., M.D.
• Timothy Luke Frieh, D.C.
• Friend of the Children Lane County Oregon
• Ronna M Friend, MA
• Mason Fries, PH.D.
• Travis Adam Fries, PSS
• Jason Harlow Friesen, MD
• Rebekah Ruth Friesz, PHARMD
• Olivia Ann Frigoletto

• Family Medicine Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.